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ANN FREDERICKSON RDH, BSDH
NPI 1073122016
Dental Hygienist in Evergreen Park, IL

Active since July 27, 2020
9851 S HOMAN AVE, EVERGREEN PARK, IL 60805(708) 203-8046 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ann Frederickson Rdh, Bsdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANN FREDERICKSON RDH, BSDH (NPI 1073122016) is an individual dental hygienist in Evergreen Park, Illinois, licensed in Illinois (020.009503) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1073122016
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameANN FREDERICKSONCredential: RDH, BSDH
Location Address9851 S HOMAN AVEEvergreen Park, IL 60805-3041
Mailing Address9851 S Homan AveEvergreen Park, IL 60805-3041 · (708) 203-8046
Phone(708) 203-8046
Sole ProprietorNo
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1073122016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IL · 020.009503
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
9851 S HOMAN AVE, Evergreen Park, IL 60805
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ann Frederickson's NPI number?

The NPI number for Ann Frederickson is 1073122016. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Ann Frederickson located?

Ann Frederickson practices at 9851 S Homan Ave, Evergreen Park, IL 60805. The listed phone number is (708) 203-8046.

What is Ann Frederickson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Ann Frederickson was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.